Provider Demographics
NPI:1376593145
Name:JUSSA, MURAD M (MD)
Entity Type:Individual
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First Name:MURAD
Middle Name:M
Last Name:JUSSA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:6040 S FORT APACHE RD
Mailing Address - Street 2:STE 100
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-5613
Mailing Address - Country:US
Mailing Address - Phone:702-384-5101
Mailing Address - Fax:702-382-5675
Practice Address - Street 1:4 SUNSET WAY
Practice Address - Street 2:STE A#3
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-2015
Practice Address - Country:US
Practice Address - Phone:702-384-5101
Practice Address - Fax:702-436-7266
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2020-03-09
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Provider Licenses
StateLicense IDTaxonomies
NV8871207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002018587Medicaid
102612Medicare PIN
NVG27146Medicare UPIN